| Organization Name: | WOMEN'S HEALTH PT OF CENTRAL MD LLC |
| NPI Number: | 1245693399 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTA RACHEL FREDERIC (MANAGING MEMBER) |
| Mailing Address: | 3909 National Dr Ste 100 Burtonsville |
| State: | MD US |
| Postal Code: | 208661191 |
| Phone Number: | 3014211125 |
| Fax Number: | 3015002175 |
| NPI Enumeration Date: | 04/05/2016 |
| NPI Last Update Date: | 04/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |